Department of Rehabilitation, Shenzhen Dapeng New District Nan'ao People's Hospital, the First Affiliated Hospital of Shenzhen University, Shenzhen 518121, China.
Kerry Rehabilitation Medicine Research Institute, Shenzhen, Guangdong 518048, China; Shenzhen Sanming Project Group, Spaulding Rehabilitation Hospital, A Teaching Affiliate of Harvard Medical School, Charlestown, MA, USA.
J Stroke Cerebrovasc Dis. 2021 Mar;30(3):105544. doi: 10.1016/j.jstrokecerebrovasdis.2020.105544. Epub 2020 Dec 17.
This study aims to analyze the effects of rhythm of music therapy on gait in patients with ischemic stroke, and explore the value of music therapy in walking training in stroke.
The present study is a prospective clinical study. Sixty patients with ischemic stroke, who were admitted to our hospital from October 2017 to December 2018, were enrolled. These patients were divided into two groups, according to the method of the random number table, with thirty patients in each group: control group and study group. Patients in the control group received conventional drug therapy, rehabilitation training and walking training, while the patients in the study group were given music therapy on the basis of the above mentioned therapies for four weeks, during which Sunday was regarded as a rest day, and the music therapy was suspended. The main outcome measures included indexes in evaluating the walking ability of patients in these two groups. At each time point, the Fugl-Meyer Assessment (FMA), Berg Balance Scale (BBS) and stroke rehabilitation treatment satisfaction questionnaire were used.
The results revealed that the stride length, cadence and maximum velocity were higher in patients in the study group, when compared to patients in the control group, at the second week and end of the therapy, and the difference in step length between the affected side and healthy side was significantly lower in the study group than in the control group. These differences were statistically significant (P < 0.05). In the second week of therapy and at the end of therapy, the FMA and BBS scores were higher in the study group than in the control group, and the difference was statistically significant (P < 0.05). The total satisfaction rate was higher in the study group than in the control group, and the difference was statistically significant (P < 0.05).
Under the stimulation of music rhythm, applying music therapy to patients with ischemic stroke can improve their gait, walking ability, lower limb motor function, balance ability and treatment satisfaction.
本研究旨在分析音乐治疗节律对缺血性脑卒中患者步态的影响，探讨音乐治疗在脑卒中步行训练中的价值。
本研究为前瞻性临床研究。选取 2017 年 10 月至 2018 年 12 月我院收治的缺血性脑卒中患者 60 例，采用随机数字表法分为两组，每组 30 例。对照组给予常规药物治疗、康复训练及步行训练，观察组在上述治疗基础上给予音乐治疗，每周 5 次，周日休息，疗程 4 周。主要结局指标为两组患者步行能力评估指标。于治疗前、治疗 2 周、治疗结束时采用 Fugl-Meyer 评估量表（FMA）、Berg 平衡量表（BBS）及脑卒中康复治疗满意度问卷进行评定。
观察组患者治疗 2 周及治疗结束时步长、步频、最大速度高于对照组，患侧与健侧步长差值小于对照组，差异均有统计学意义（P<0.05）。治疗 2 周及治疗结束时观察组 FMA、BBS 评分高于对照组，差异均有统计学意义（P<0.05）。观察组患者总满意度高于对照组，差异有统计学意义（P<0.05）。
在音乐节奏的刺激下，应用音乐疗法对缺血性脑卒中患者进行治疗，可改善其步态、步行能力、下肢运动功能、平衡能力，提高患者治疗满意度。
